Perceptions of schizophrenic patients and their therapists: Application of the semantic differential technique to evaluate the treatment relationship

Hayashi, Naoki; Yamashina, Mitsuru; Ishige, Naoko; Taguchi, Hisako; Igarashi, Yoshito; Hiraga, Masashi; Inoue, Yukiyo

doi:10.1016/s0010-440x(00)90048-8

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…Previous studies have reported that the length of psychiatric clinical experience of the treating psychiatrist and the duration of treatment by the same treating psychiatrist can be related to the degree of trust [ 34 ]. It has also been reported that the degree of patients’ trust in their psychiatrist and the relationship between the two may be related to their favorable attitude toward treatment, including pharmacotherapy, satisfaction with treatment, and the presence of consultation on medication [ 35 , 36 ], which is similar to our findings.…”

Section: Discussionsupporting

confidence: 91%

How do patients and families evaluate attitude of psychiatrists in Japan?: quantitative content analysis of open-ended items of patient responses from a large-scale questionnaire survey

Natsukari¹,

Higuchi

Tsujimoto

2023

BMC Psychiatry

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Background Patient and Public Involvement (PPI) has been widely advocated in psychiatric fields. In Japan, however, PPI has not been implemented in clinical practice. In order to improve quality of psychiatric service in Japan, it is essential to understand psychiatrists’ attitudes from the patients’ perspective as a first step in practicing PPI. This study aimed to investigate the patients’ evaluation of psychiatrists’ attitudes by illustrating themes appeared in the questionnaire survey. Methods This study used the data obtained from the questionnaire survey responded by 2,683 patients with family members who belong to the family associations for psychiatric patients in Japan. Three open-ended question items in this survey, "criteria for selecting a psychiatrist (784 patient responses, response rate 29.2%),” “attitude of the psychiatrist in charge (929 patient responses, response rate 34.6%)," and "communication skills of the psychiatrist in charge (739 patient responses, response rate 27.5%)" were analyzed by co-occurrence network using KH Coder software. Results The common theme observed in all three items was whether psychiatrist took sufficient consultation time. The criteria for selecting a psychiatrist were summarized whether psychiatrist provided appropriate advices for patients’ problems, whether psychiatrist cared about patients’ demands and whether psychiatrist informed to patients about diseases and medications. The attitudes of the psychiatrists in charge that patients had most wanted their psychiatrists to improve were: psychiatrists only watch the computer, make diagnosis according to the patients’ individual condition, and try to build a relationship of trust with the patient. The patients’ demands regarding communication skills of the psychiatrist in charge included: whether the psychiatrist communicated in a way that improves the patient's psychological state, whether the psychiatrist was attentive to the patients’ family, and whether the psychiatrist could control his/her own mood during the consultation. Conclusion The results reflected the patients’ demands that do not appear in closed-ended items. It was suggested that patients’open-ended responses to questionnaires and their involvement in the psychiatric research (PPI) may provide more insight into improving pshchiaric care in Japan.

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Section: Discussionsupporting

confidence: 91%

How do patients and families evaluate attitude of psychiatrists in Japan?: quantitative content analysis of open-ended items of patient responses from a large-scale questionnaire survey

Natsukari¹,

Higuchi

Tsujimoto

2023

BMC Psychiatry

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“…Eight of these measures were excluded upon further scrutiny: one (13) was used in a study of an Emergency Room, one (14) had no total score and two (15, 16) only included items on the relationship among a range of other items. Two were not measures, one (17) using semantic differential technique to investigate the relationship and one (18) being a retrospective unquantified assessment of the patient’s attendance; one (19) was about patients’ interpersonal relationships in general; and one (20, 21) was not about relationships between patients and professionals. This left 15 measures (in 40 papers) eligible for full conceptual review (Fig.…”

Section: Resultsmentioning

confidence: 99%

The therapeutic relationship in secondary mental health care: a conceptual review of measures

Catty

Winfield

Clément

2007

Acta Psychiatr Scand

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“…Second, reliable therapist perception was supposed to reflect the quality of the treatment relationship, and to be central to patient–therapist cooperation and an affective or relational component of the therapeutic alliance, 17 the formation of which is usually a delicate task, and is highlighted as crucial in the treatment 9 . Another clinical significance of the therapist perception was that it was predictive of a smooth acceptance of an appropriate attitude in the treatment situation as our previous study showed 18 .…”

Section: Discussionmentioning

confidence: 99%

“…We previously reported that composite scales consisting of the estimations of treating psychiatrists by patients had validity in characterizing the treatment relationship. 17 The scale used in the present study was that of a reliable therapist perception of patients, which has been ascertained to reflect patient-therapist cooperation, 17 and reported to have value in predicting the favorable outcome of a psychoeducation program. 18…”

Section: Reliable Therapist Perception Scalementioning

confidence: 99%

Schizophrenic outpatient perceptions of psychiatric treatment and psychotic symptomatology: An investigation using structural equation modeling

Hayashi

Yamashina

Taguchi

et al. 2001

Psychiatry Clin Neurosci

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Schizophrenic patient perceptions of treatment have clinical value and deserve detailed psychiatric investigation. The present study sought a model indicating statistically estimated cause-effect relationships of perceptions and psychotic symptomatology of outpatients with schizophrenia by applying a method of structural equation modeling. The perceptions included in this model were patient satisfaction with treatment, perceptions of their treating psychiatrists, and patient-role perception. Scores of Positive and Negative Syndrome Scale and poor insight measures were added to the model as possible influential factors. The constructed model revealed that the poor insight exerted a major influence on the patient-role perception that had small effects on the reliable therapist perception and the satisfaction. It was also shown that satisfaction was chiefly determined by the reliable therapist perception that was formed in the treatment relationship, rather independently of the other construct. These findings were valuable in terms of their implications for understanding the makeup of the perceptions and the strategy for interventions to improve them.

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Perceptions of schizophrenic patients and their therapists: Application of the semantic differential technique to evaluate the treatment relationship

Cited by 6 publications

References 18 publications

How do patients and families evaluate attitude of psychiatrists in Japan?: quantitative content analysis of open-ended items of patient responses from a large-scale questionnaire survey

How do patients and families evaluate attitude of psychiatrists in Japan?: quantitative content analysis of open-ended items of patient responses from a large-scale questionnaire survey

The therapeutic relationship in secondary mental health care: a conceptual review of measures

Schizophrenic outpatient perceptions of psychiatric treatment and psychotic symptomatology: An investigation using structural equation modeling

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